Active NPI
Jason Kelberman, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1467524165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16444
- Practice address
- 11645 Wilshire Blvd
Suite 120
Los Angeles, CA 90025-1708 - Phone
- (310) 231-7000
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16444 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd
Suite 120
Los Angeles, CA 90025-1708
Mailing address
11645 Wilshire Blvd
Suite 120
Los Angeles, CA 90025-1708
Phone (310) 231-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000516 | CA | Practitioner - Chiropractic | 3375609407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16444 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1467524165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-231-7000",
"fax_number": "310-231-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-231-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELBERMAN",
"first_name": "JASON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.